Blood test, vitamin D
Facility: Holton Community Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $317
- Cash Discount Price: $287
- vs. Medicare Baseline: 10.71x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $29.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1071% of the Medicare baseline (a markup of 971%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $203 - $382 | 686% |
| UnitedHealthcare | $203 - $382 | 686% |
| Humana | $205 | 693% |
| Kansas Superior Select - All Plans | $207 | 699% |
| Blue Cross Blue Shield | $216 | 730% |
| Preferred Health Fn Select - All Other Plans | $317 | 1071% |
| Preferred Health Professionals | $317 | 1071% |
| Preferred Health Freedom | $317 | 1071% |
| Wppa Providers - All Plans | $363 | 1226% |
| Medicaid / KanCare | $382 | 1291% |
Consumer Guidance & Cost Commentary
For the blood test for vitamin D (CPT 82306) at Holton Community Hospital in Holton, Kansas, the facility's cash price of $287 is lower than the median negotiated rate of $317 paid by insurance plans. While the hospital is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance rates often exceed cash prices due to administrative costs and contract dynamics. In this case, paying out-of-pocket directly could result in significant savings compared to the standard negotiated fees, particularly if you have a high-deductible plan where the insurance allowed amount might still be higher than the cash price. It is advisable to explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as these upfront payment incentives can further reduce the final cost.
When evaluating this charge against broader benchmarks, the facility's cash rate of $287 is notably higher than the state of Kansas average for this service, which sits at $264. However, the most reliable metric for understanding true cost is the Medicare rate of $29.60; commercial negotiated rates typically range from 200% to 300% of this baseline, whereas fair pricing is generally considered to be between 120% and 150%. Since the hospital's cash price is already below the typical commercial markup, patients should avoid relying on summary bills that obscure individual line items. Instead, always request a full itemized CPT-coded statement to ensure no unbundled charges or services not rendered are included, and verify your deductible status before using insurance to prevent unexpected out-of-pocket expenses.